Niloofar Khandadash, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53723 Issued in CA

Practice address

5130 Yarmouth Ave
Apt 27
Encino, CA 91316-3303

Phone

(818) 914-8402

NPI assigned

Sep 26, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: niloofar.khandadashpa.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Parenthood of Greater New York Inc

  • Ambulatory Family Planning Facility
  • Brooklyn, NY
  • NPI 1417959701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1255880720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 YARMOUTH AVE",
            "address_2": "APT 27",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163303",
            "telephone_number": "818-914-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 YARMOUTH AVE",
            "address_2": "APT 27",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163303",
            "telephone_number": "818-914-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDADASH",
        "first_name": "NILOOFAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrah Khaleghi Aizenman, PSY.D.
• Mohammad Khaleghi, DDS
• Ashley Khalepari
• Naguib Khan, M.D.
• Christin Khanbabaian
• Shabnam Khanideh, DMD
• Melvin Khaw, M.D.
• Patrick Khaziran, D.C.
• Keren Khazzam, MA. LMFT
• Artineh Khechooman

• Physician Assistant in Encino, CA
• Providers in Encino, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.